Icarern
Icarern is a General Practice Physician in Coram, New York. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
202 W Yaphank RdCoram, NY 11727-4073
Phone: (631) 933-8897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1841992492 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Natasha Jackson — Cno · (631) 933-8897 |
| NPI enumerated | March 20, 2023 |
| Last updated in NPPES | March 20, 2023 |
| Certification date | March 19, 2023 |
| Mailing address | 202 W Yaphank Rd, Coram, NY 11727-4073 |